Individual
BROOKE J BECKHAM
Active
Individual
BROOKE J BECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
07111330
SD
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD0000646
CO
1041C0700X
Clinical Social Worker
2989
SD
1041C0700X
Clinical Social Worker
Primary
CSW.09923604
CO
Other
Enumeration date
05/14/2013
Last updated
06/26/2020
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